Stressful events in early childhood and developmental trajectories of bedwetting at school age

Carol Joinson; Sarah Sullivan; Alexander von Gontard; Jon Heron

doi:10.1093/jpepsy/jsw025

Stressful events in early childhood and developmental trajectories of bedwetting at school age

Carol Joinson, Sarah Sullivan, Alexander von Gontard, Jon Heron

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Abstract

Objective To examine whether early stressful events are associated with developmental trajectories of bedwetting.

Methods This is a prospective cohort study comprising 8,761 participants from the Avon Longitudinal Study of Parents and Children (ALSPAC). Stressful events were measured using a maternal questionnaire completed at 3 time-points before their child was age 4. The association between stressful events and trajectories of bedwetting from 4–9 years was examined using multinomial regression.

Results The association with stressful events was strongest for the frequent persistent bedwetting trajectory (wetting at least twice a week up to age 9). A 1-SD increase in the stressful events score was associated with a 29% (13% - 47%) increase in the odds of experiencing frequent persistent bedwetting compared with normal attainment of nighttime bladder control.

Conclusions Clinicians and parents should be aware that continence is a developmental outcome that is associated with high levels of stress in the family.

Original language	English
Pages (from-to)	1002-1010
Number of pages	9
Journal	Journal of Pediatric Psychology
Volume	41
Issue number	9
Early online date	11 Apr 2016
DOIs	https://doi.org/10.1093/jpepsy/jsw025
Publication status	Published - Oct 2016

Keywords

ALSPAC
bedwetting
developmental trajectory
latent class
nocturnal enuresis
stressful life events

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10.1093/jpepsy/jsw025

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This is the author accepted manuscript (AAM). The final published version (version of record) is available online via Oxford University Press at http://jpepsy.oxfordjournals.org/content/41/9/1002. Please refer to any applicable terms of use of the publisher.
Accepted author manuscript, 323 KB
Full-text PDF (final published version)
This is the final published version of the article (version of record). It first appeared online via Oxford University Press at http://jpepsy.oxfordjournals.org/content/41/9/1002. Please refer to any applicable terms of use of the publisher.
Final published version, 175 KBLicence: CC BY

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Increasing understanding of risk factors and outcomes associated with incontinence in childhood and adolescence
Cramer, H. A. (Researcher), Emond, A. M. (Researcher), Heron, J. E. (Researcher), Horwood, J. (Researcher), Tilling, K. M. (Researcher), Wright, A. (Collaborator) & Joinson, C. J. (Principal Investigator)
1/05/14 → 28/02/17
Project: Research

Cite this

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title = "Stressful events in early childhood and developmental trajectories of bedwetting at school age",

abstract = "Objective To examine whether early stressful events are associated with developmental trajectories of bedwetting. Methods This is a prospective cohort study comprising 8,761 participants from the Avon Longitudinal Study of Parents and Children (ALSPAC). Stressful events were measured using a maternal questionnaire completed at 3 time-points before their child was age 4. The association between stressful events and trajectories of bedwetting from 4–9 years was examined using multinomial regression. Results The association with stressful events was strongest for the frequent persistent bedwetting trajectory (wetting at least twice a week up to age 9). A 1-SD increase in the stressful events score was associated with a 29% (13% - 47%) increase in the odds of experiencing frequent persistent bedwetting compared with normal attainment of nighttime bladder control. Conclusions Clinicians and parents should be aware that continence is a developmental outcome that is associated with high levels of stress in the family.",

keywords = "ALSPAC, bedwetting, developmental trajectory, latent class, nocturnal enuresis, stressful life events",

author = "Carol Joinson and Sarah Sullivan and {von Gontard}, Alexander and Jon Heron",

year = "2016",

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doi = "10.1093/jpepsy/jsw025",

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T1 - Stressful events in early childhood and developmental trajectories of bedwetting at school age

AU - Joinson, Carol

AU - Sullivan, Sarah

AU - von Gontard, Alexander

AU - Heron, Jon

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N2 - Objective To examine whether early stressful events are associated with developmental trajectories of bedwetting. Methods This is a prospective cohort study comprising 8,761 participants from the Avon Longitudinal Study of Parents and Children (ALSPAC). Stressful events were measured using a maternal questionnaire completed at 3 time-points before their child was age 4. The association between stressful events and trajectories of bedwetting from 4–9 years was examined using multinomial regression. Results The association with stressful events was strongest for the frequent persistent bedwetting trajectory (wetting at least twice a week up to age 9). A 1-SD increase in the stressful events score was associated with a 29% (13% - 47%) increase in the odds of experiencing frequent persistent bedwetting compared with normal attainment of nighttime bladder control. Conclusions Clinicians and parents should be aware that continence is a developmental outcome that is associated with high levels of stress in the family.

AB - Objective To examine whether early stressful events are associated with developmental trajectories of bedwetting. Methods This is a prospective cohort study comprising 8,761 participants from the Avon Longitudinal Study of Parents and Children (ALSPAC). Stressful events were measured using a maternal questionnaire completed at 3 time-points before their child was age 4. The association between stressful events and trajectories of bedwetting from 4–9 years was examined using multinomial regression. Results The association with stressful events was strongest for the frequent persistent bedwetting trajectory (wetting at least twice a week up to age 9). A 1-SD increase in the stressful events score was associated with a 29% (13% - 47%) increase in the odds of experiencing frequent persistent bedwetting compared with normal attainment of nighttime bladder control. Conclusions Clinicians and parents should be aware that continence is a developmental outcome that is associated with high levels of stress in the family.

KW - ALSPAC

KW - bedwetting

KW - developmental trajectory

KW - latent class

KW - nocturnal enuresis

KW - stressful life events

U2 - 10.1093/jpepsy/jsw025

DO - 10.1093/jpepsy/jsw025

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JO - Journal of Pediatric Psychology

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Stressful events in early childhood and developmental trajectories of bedwetting at school age

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Increasing understanding of risk factors and outcomes associated with incontinence in childhood and adolescence

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